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《护士观察量表(NOSIE - 30)的预测效用、评估者性别差异及评估者间信度》

Predictive utility, sex of rater differences, and interrater reliabilities of the NOSIE-30.

作者信息

McMordie W R, Swint E B

出版信息

J Clin Psychol. 1979 Oct;35(4):773-5. doi: 10.1002/1097-4679(197910)35:4<773::aid-jclp2270350417>3.0.co;2-9.

DOI:10.1002/1097-4679(197910)35:4<773::aid-jclp2270350417>3.0.co;2-9
PMID:512004
Abstract

Results suggest that the NOSIE-30 may have predictive utility. Twelve Token Economy patients rated by nine staff members were followed for 1 year. Patients discharged within a year after the NOSIE-30 was administered had higher scores on Social Competence, Personal Neatness, Total Positive Factors, Total Patient Assets and a lower score on Total Negative Factors than patients who remained hospitalized. Generally, there were higher interrater reliabilities on subscales for which behaviors could be observed easily, such as social competence, neatness, and irratability, and less agreement on subscales such as manifest psychosis and social interest. Sex differences found in the raters' perception of a patient behavior indicated that male raters tend to be more tolerant of a patient's negative behaviors. The NOSIE-30 can be a useful tool in staff training and in patient evaluation with a multidisciplinary approach.

摘要

结果表明,护士观察量表-30(NOSIE-30)可能具有预测效用。9名工作人员对12名采用代币制疗法的患者进行了为期1年的随访。在实施NOSIE-30一年内出院的患者,在社交能力、个人整洁度、总积极因素、患者总资产方面得分较高,在总消极因素方面得分低于仍住院的患者。一般来说,对于那些行为易于观察的分量表,如社交能力、整洁度和易怒性,评分者间信度较高;而对于如明显精神病症状和社会兴趣等分量表,评分者间的一致性较低。评分者对患者行为认知中发现的性别差异表明,男性评分者往往对患者的消极行为更宽容。NOSIE-30在员工培训和多学科方法的患者评估中可能是一个有用的工具。

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